Case report: A rare case of pure tibio-talar dislocation without malleolar clamp fracture in a young athlete: Long-term functional results and recent reviews of the literature

Bouziane, Walid; Amahtil, Mouncef; Benhamou, M; Amghar, Jawad; Ahrram, Soufiane; Sadougui, Mohammed; Lamhaoui, Abdessamad; Karbal, Jamal; Bakkal, Imad; Machmachi, Mohammed Amine; Ali, Omar; Daoudi, A.

doi:10.1016/j.ijscr.2022.107396

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…Pure ankle dislocation is not well understood due to its rarity. In the literature, only 154 cases were reported up to 2017 [ 2 , 3 ]. In a systematic review of Wight et al, the incidence of pure ankle dislocation accounted for 0.065% of all ankle injuries and 0.46% of all presentations with an ankle dislocation [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Pure Ankle Dislocation: A Case Report and a Narrative Literature Review

Chaniotakis,

Tsioupros,

Samartzidis

et al. 2023

Cureus

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Pure dislocation of the ankle is an extremely rare injury accounting for only 0.065% of all ankle injuries and 0.46% of all ankle dislocations. The mechanism of the injury generally consists of high-energy trauma which is associated with a combination of plantar flexion and inversion or eversion of the foot. We present a case of a 22-year-old male patient who sustained a closed pure ankle dislocation after a fall from a small height. He was treated conservatively with closed reduction and circumferential cast immobilization for six weeks, followed by a functional rehabilitation program. The patient presented to the emergency department with an acutely painful and deformed right ankle after falling from a height of 1 m (stairs). Radiographs showed a posteromedial ankle dislocation without fracture. Urgent closed reduction of the dislocation was performed and a posterior below-knee back slab was applied to immobilize the ankle. Dorsalis pedis and posterior tibial arteries were intact. Check X-rays confirmed proper reduction of the ankle joint. Post reduction computed tomography (CT) scan did not show any associated fractures. Magnetic resonance imaging (MRI) revealed a multiligamentous ankle injury and a small osteochondral lesion of the anteromedial talar dome. The back slab was changed to a below-knee circular cast two weeks later, as soon as the soft tissue swelling subsided. The cast was removed at the six-week follow-up and physiotherapy was initiated in order to gain functional rehabilitation and improve the range of motion. At the final follow-up (12 months), the ankle range of motion (ROM) was the same as the pre-injury status and the patient was able to return to his work. Pure ankle dislocation is a rare injury. A satisfactory outcome can be expected, provided that the appropriate conservative treatment followed by a strict rehabilitation protocol is applied.

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Section: Introductionmentioning

confidence: 99%

Pure Ankle Dislocation: A Case Report and a Narrative Literature Review

Chaniotakis,

Tsioupros,

Samartzidis

et al. 2023

Cureus

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A Professional Basketball Player Who Suffered an Open Ankle Dislocation Without an Associated Fracture Achieves His Prior Performance Level Three Months Later

Sonobe,

Watanabe,

Endo

et al. 2024

Cureus

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An ankle dislocation without an accompanying fracture is extremely rare, and an open ankle dislocation is even rarer. Due to its rarity, there is no consensus on the optimal treatment strategy. A professional basketball player (a 28-year-old male) incurred an open ankle dislocation (with no accompanying fracture) during a basketball game due to plantar flexion and inversion of his ankle during the transition from dashing to stop motion. The same day, an emergency reduction under spinal anesthesia was performed with primary closure of the wound. Considering the complications of infection and decreased ankle range of motion (ROM), primary ligament repair was not performed. He was treated conservatively with cast immobilization for four weeks, and early weight-bearing and ROM exercises were initiated. At six weeks postoperatively, stress radiography did not reveal ankle instability. After three months of conservative treatment, the patient was able to play basketball at his previous performance level. Four weeks of cast immobilization without ligament repair plus early rehabilitation with weight-bearing and ROM exercises allowed for an early return without complications. Even in high-level athletes, open ankle dislocation without an accompanying fracture can be treated adequately with conservative therapy.

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Case report: A rare case of pure tibio-talar dislocation without malleolar clamp fracture in a young athlete: Long-term functional results and recent reviews of the literature

Cited by 2 publications

References 6 publications

Pure Ankle Dislocation: A Case Report and a Narrative Literature Review

Pure Ankle Dislocation: A Case Report and a Narrative Literature Review

A Professional Basketball Player Who Suffered an Open Ankle Dislocation Without an Associated Fracture Achieves His Prior Performance Level Three Months Later

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